Individual provider Active NPI

Angeline Beato Taveras, DC

  • Chiropractor
  • Troy, IL
National Provider Identifier
1447915020
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013795 Issued in IL
Practice address
805 Lions Dr
Troy, IL 62294-2440
Phone
(618) 444-9220
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013795 IL Primary

Addresses

Primary practice location

805 Lions Dr
Troy, IL 62294-2440

Mailing address

805 Lions Dr
Troy, IL 62294-2440
Phone (618) 444-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013795ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirorelief, LTD Chiropractor CurrentSince Oct 1, 2024 Accepting new patients

Locations

2 S 56th Pl
Ste 100
Ridgefield, WA 98642
Phone (360) 784-2992

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1447915020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LIONS DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942440",
            "telephone_number": "618-444-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LIONS DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942440",
            "telephone_number": "618-444-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATO TAVERAS",
        "first_name": "ANGELINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.